Provider Demographics
NPI:1205103702
Name:HOME CARE CONNECTIONS, LLC
Entity type:Organization
Organization Name:HOME CARE CONNECTIONS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO & MANAGING DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERROLYN
Authorized Official - Middle Name:TRENECE
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-905-9073
Mailing Address - Street 1:11402 DAPPLED GREY WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-8172
Mailing Address - Country:US
Mailing Address - Phone:619-392-2788
Mailing Address - Fax:
Practice Address - Street 1:11402 DAPPLED GREY WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-8172
Practice Address - Country:US
Practice Address - Phone:619-392-2788
Practice Address - Fax:301-627-3432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care